Individual
MS. DONNA JEAN SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., LBA, LISAC
Contact information
Practice address
705 N OLIVE AVE, CASA GRANDE, AZ 85122-4034
(520) 840-0697
(520) 635-5331
Mailing address
PO BOX 562, FLORENCE, AZ 85132-3010
(520) 840-0697
(520) 635-5331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11747
AZ
103K00000X
Behavior Analyst
Primary
BEH-000773
AZ
Other
Enumeration date
05/09/2007
Last updated
07/28/2023
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